How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.32 | Facility | None | $7.59 | $7.59 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | None | $7.59 | $7.59 | $8.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $8.71 | Professional | None | $6.61 | $6.61 | $8.71 |
CareFirst Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | None | $8.32 | $8.32 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.76 | Facility | None | $7.41 | $7.41 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.41 | Professional | None | $6.31 | $6.31 | $7.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $16.22 | Professional | None | $8.71 | $12.59 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $12.30 | Professional | None | $7.94 | $8.71 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $3.72 Median $6.76 Typical High $8.71 | Facility | None | $3.72 | $6.76 | $8.71 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $8.13 | Professional | None | $6.76 | $7.59 | $8.13 |
Sentara Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $36.31 | Facility | None | $6.17 | $9.33 | $36.31 |
Sentara Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $19.05 | Professional | None | $8.13 | $9.55 | $19.05 |
United Setting Professional Modifier None Typical Low $5.25 Median $6.17 Typical High $9.12 | Professional | None | $5.25 | $6.17 | $9.12 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.23 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.76 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.76 | $0.76 | $0.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.66 Median $0.66 Typical High $0.87 | Professional | RR · Rental | $0.66 | $0.66 | $0.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.57 Median $4.90 Typical High $5.01 | Professional | UE · Used equipment | $4.57 | $4.90 | $5.01 |
Where Virginia sits
The same service costs 2.0 times more in Montana than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 31st of 51
$7.59
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.